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Jan 5, 2010
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almost all of our pay comes from medicaid and medicare. and so we are dependent on the public payers, what they pay is what we get. that's not the way traditional supply and demand works. we are in a very different world than a lot of the other parts of the health sector. secondly, our framework argues that we have to recognize long-term care work force as a distinct, but related part of the health sector. because every time we work on health care reform, health care work force reform, the eye goes toward hospital and ambulatory and primary work force, the long-term work force for the most part has been an afterthought and we have to and we're beginning to see this with the elder care work force alliance, but specific attention needs to be paid to this long-term work force if we are going to develop this over the next 20 years, particularly with the aging of the baby boomers, where we're really going to see some significant more demand in the future. the third is we have to be responding to new philosophies and models of care. we cannot do
almost all of our pay comes from medicaid and medicare. and so we are dependent on the public payers, what they pay is what we get. that's not the way traditional supply and demand works. we are in a very different world than a lot of the other parts of the health sector. secondly, our framework argues that we have to recognize long-term care work force as a distinct, but related part of the health sector. because every time we work on health care reform, health care work force reform, the eye...
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Jan 29, 2010
01/10
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the life of medicare. medicare is going into bankruptcy, but it would extend the life of it. that's an honest and correct score. the congressional budget office utilizes what it calls the unified budget. they scored the whole budget as to how it comes out, and the amount of money is increased to the government through medicare, and they score that as a gain, and then since the health care bill didn't take effect until -- benefits of it until four to five years later, that over ten years it would create a surplus of $132 billion. sound good? well, but i read the small print of the c.b.o. letter and the small print of the medicare letter, and the medicare man hold us, the chief actuary, that if you raise taxes and you cut spending in medicare, it will extend the life of medicare. we had a parenthetical line in there. he said, of course, you can't simultaneously use the medicare savings to fund a new program and claim it does both. you would be spending the money twice. how logical is that, but that's what th
the life of medicare. medicare is going into bankruptcy, but it would extend the life of it. that's an honest and correct score. the congressional budget office utilizes what it calls the unified budget. they scored the whole budget as to how it comes out, and the amount of money is increased to the government through medicare, and they score that as a gain, and then since the health care bill didn't take effect until -- benefits of it until four to five years later, that over ten years it...
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Jan 21, 2010
01/10
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the trustees of medicare say that medicare will go broke in eight years. social security will take somewhat longer. but both are on a path to insolvency if we fail to act. mr. president, it hasn't just been from the more liberal side of the spectrum that the criticism has come. also on the right. "the wall street journal," ran this editorial calling the debt reduction commission or the deficit commission a trap. they say it is a trap that will lead to higher taxes, to more revenue. so on the left and the right we have those complaining that if you move forward to deal with the debt, you're going to make reductions in programs and you're goi i think that's undeniably the case. if you're going to deal with this debt threat, we are going to have to make changes in the spending prowewewewewe are goine changes in the revenue base of the country. i would suggest for those who are concerned about tax increases, the first place to get more revenue is not with the tax increase. the first place to get more revenue is to collect what's actually owed. if you examine t
the trustees of medicare say that medicare will go broke in eight years. social security will take somewhat longer. but both are on a path to insolvency if we fail to act. mr. president, it hasn't just been from the more liberal side of the spectrum that the criticism has come. also on the right. "the wall street journal," ran this editorial calling the debt reduction commission or the deficit commission a trap. they say it is a trap that will lead to higher taxes, to more revenue. so...
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Jan 20, 2010
01/10
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the current health care system has led to skyrocketing costs in medicare and medicaid. to recuse those -- reduce those costs for the long run, we need to pass comprehensive health care reform. that's the first step to get the excessive deficits under control, and that's exactly what we're doing. in late december, the senate passed health care reform, and according to the nonpartisan congressional budget office, our health care reform bill reduced federal deficits by $132 billion in the first ten years. that is -- let me say it again. according to the c.b.o., this health care legislation will reduce federal deficits by by $132 billion in the first ten years. not increase, but reduce. that helps. the bill would reduce federal deficits by $650 billion to to $1.3 trillion the second ten years. that is, the second ten years, there is a much greater reduction in deficit spending, according to the nonpartisan congressional budget office, a reduction between $650 billion to $1.3 trillion reduction in federal deficits in the second ten years. and this deficit reduction is likely
the current health care system has led to skyrocketing costs in medicare and medicaid. to recuse those -- reduce those costs for the long run, we need to pass comprehensive health care reform. that's the first step to get the excessive deficits under control, and that's exactly what we're doing. in late december, the senate passed health care reform, and according to the nonpartisan congressional budget office, our health care reform bill reduced federal deficits by $132 billion in the first...
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Jan 26, 2010
01/10
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medicare did until just last few years. those surpluses are being spent in our discretionary account. so, really, these programs have little to do with our record deficits. it's discretionary spending up until recently that's driven the entirety of our debt. deficits, for the most part, come from discretionary spending. mr. president, so this statutory idea that i've proposed is tested and proven. the budget enforcement act of 1990, including very similar provisions that kept the growth of the federal spending low for 12 years. its provisions were extended in 1997 because people found that it was working. the congress felt that it was working. all in all these budget rules helped to achieve four balanced budgets for four consecutive years from 1998 to 2001. and the key component of that, i truly believe, was the statutory caps on spending that were passed during that opinion. many current serving senators were in this chamber in the 1990's, and recognized the necessity. in 1997, 28 currently serving democrats, for example,
medicare did until just last few years. those surpluses are being spent in our discretionary account. so, really, these programs have little to do with our record deficits. it's discretionary spending up until recently that's driven the entirety of our debt. deficits, for the most part, come from discretionary spending. mr. president, so this statutory idea that i've proposed is tested and proven. the budget enforcement act of 1990, including very similar provisions that kept the growth of the...
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Jan 20, 2010
01/10
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the clerk: h.r. 3961, an act to amend title 18 of the social security act to reform the medicare s.g.r. payment system for physicians and for other purposes. h.r. 4154, an act to amend the internal revenue code of 1986 to repeal the new carrier overbasis rules in order to prevent tax increases, and so forth and for other purposes. mr. reid: mr. president, i would object to further proceedings in respect to these two bills. the presiding officer: objection having been heard, the bills will be placed on the calendar. mr. reid: mr. president, visiting with nevadans as i have done during these past several weeks, it's impossible not to be motivated to get back to the business of legislating. it's impossible to ignore their grief over growing foreclosures, the uncertainty of unemployment, and the frustration of fighting insurance companies for your family's health, and it's just as evident that the people of nevada and the nation need us to work toward sensible solutions rather than drown once again in the partisan bickering that consumed much of last year. some elections go your way. some
the clerk: h.r. 3961, an act to amend title 18 of the social security act to reform the medicare s.g.r. payment system for physicians and for other purposes. h.r. 4154, an act to amend the internal revenue code of 1986 to repeal the new carrier overbasis rules in order to prevent tax increases, and so forth and for other purposes. mr. reid: mr. president, i would object to further proceedings in respect to these two bills. the presiding officer: objection having been heard, the bills will be...
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Jan 27, 2010
01/10
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so what i consider to be the key issue, given that the government has exposure to medicaid, medicare, and other costs and is finding ways over perhaps not even elite but over a number of years to bring down the cost per person health care. i have not read the cbo study. i know enough to know that health care economists have differed quite a bit about implications of different proposals and different measures. so i'm not going to weigh in with a number. i don't have a good number to give you. only to repeat what i've said before, which is as part of this process, it's very, very important that we do our best, not to reduce the quality of care or reduce coverage or to make health care worse here this is a very inefficient system and there must be ways to reduce the cost of delivering that health care, and there have been many ideas suggested, ranging from information technology, to various incentive payments, to experimental or evidence-based medicine. i just want to reiterate that because it is critical that we get a stable and sustainable fiscal trajectory going forward, we do need to
so what i consider to be the key issue, given that the government has exposure to medicaid, medicare, and other costs and is finding ways over perhaps not even elite but over a number of years to bring down the cost per person health care. i have not read the cbo study. i know enough to know that health care economists have differed quite a bit about implications of different proposals and different measures. so i'm not going to weigh in with a number. i don't have a good number to give you....
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Jan 6, 2010
01/10
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and so social security, food stamps, and medicare are examples of those more federal uniform policies. if a program or policy is he developed at a time when there is a major goal to reduce the role of the federal government or the size of the federal government, which was true in the 1980's, the goal is to devolve decision-making and administration from the federal level down to lower levels. and then you wind up getting policies like the current welfare system, the temporary assistance for needy families, and workforce development. if on the other hand, program or policies being developed by congress at the national level at a time when there's distrust of state and local government, but more trust in the federal government, perhaps like in the 60's during the war on poverty, then you may see more federal control of programs, but devolution down to the local level. community action agencies, public health centers are examples of those. the depending on when a policy or program is enacted in congress, the philosophies, the values that are dominant at that particular time heavily influ
and so social security, food stamps, and medicare are examples of those more federal uniform policies. if a program or policy is he developed at a time when there is a major goal to reduce the role of the federal government or the size of the federal government, which was true in the 1980's, the goal is to devolve decision-making and administration from the federal level down to lower levels. and then you wind up getting policies like the current welfare system, the temporary assistance for...
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Jan 29, 2010
01/10
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. >> but just look backward for medicare. [laughter] >> just for you, just for you. look, i think there was a moment in time where disney stock was $20 a share. because i ultimately i am a finance major. i start a little bit from the business perspective. obviously you have to love the strategic perspective. espn has been a terrific business. business channel, then done incredible things. family channel was once a really bad deal. now looks like a great channel. disney is firing wonderfully. we were right after 2001 theme park attendance was at a low. there was a shareholder revolt going on. there was the founding family say we want change. there was a vote coming up, and somehow, right or wrong, there was discussion between parties involved with both companies on a back channel basis that said, maybe now that you've done a at&t, you'd like to come in and put our two companies together. we openly throughout that idea. they said no thank you. and pretty quickly we said, we are not in the business to go in and completely disrupt and over pay and stock today's 30, up fr
. >> but just look backward for medicare. [laughter] >> just for you, just for you. look, i think there was a moment in time where disney stock was $20 a share. because i ultimately i am a finance major. i start a little bit from the business perspective. obviously you have to love the strategic perspective. espn has been a terrific business. business channel, then done incredible things. family channel was once a really bad deal. now looks like a great channel. disney is firing...
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Jan 28, 2010
01/10
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group of americans called the baby boomers are going to retire, and the cost of social security and medicare is going to skyrocket. these are promises we have to keep to seniors because they pay for it, but we have no idea of how we're going to keep those promises to seniors right now, particularly in light of the current economic situation. as we look at where we are, we need to recognize how we got there. and as i've talked to banks, businesses, foreign financial ministers from europe who have come here, everyone agrees that there are two major causes of the economic problems here and around the world. and one is the high leverage or the high borrowing that went on because of the loose monetary policy at the federal reserve. easy money, cheap money encouraged companies and individuals to borrow more than they could afford to pay back because it was easy to get and cheap. the big banks on wall street could more easily borrow money than to raise capital. those were incentives created by the policies at the federal reserve. the second problem is what we are calling toxic assets, which are sec
group of americans called the baby boomers are going to retire, and the cost of social security and medicare is going to skyrocket. these are promises we have to keep to seniors because they pay for it, but we have no idea of how we're going to keep those promises to seniors right now, particularly in light of the current economic situation. as we look at where we are, we need to recognize how we got there. and as i've talked to banks, businesses, foreign financial ministers from europe who...
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Jan 25, 2010
01/10
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father of four beautiful girls, who genuinely feels there will be no social security for him, that medicare may not be there either, and he understands that the global competition facing his generation and his daughters' generation is greater than at any other time in our nation's history. the global competition is greater than at any other time in this nation's history, and that the burden that we have created because of our fiscal irresponsibility brings into question whether his children will enjoy the same opportunity for a standard of living that we have had. mr. president, i said in the beginning of my speech i believe the issues this amendment is designed to address, our national debt and deficits as far as the eye can see, can two of the most important issues congress and our nation face. our failure to address these issues will damage our economy, our nation's security, peace in the world, and the kind of future that we leave to our children and grandchildren. mr. president, the future of our nation is in our hands. the future of our nation is in the hands of these 100 senators her
father of four beautiful girls, who genuinely feels there will be no social security for him, that medicare may not be there either, and he understands that the global competition facing his generation and his daughters' generation is greater than at any other time in our nation's history. the global competition is greater than at any other time in this nation's history, and that the burden that we have created because of our fiscal irresponsibility brings into question whether his children...